Abstract
BACKGROUND: Research has shown that abused women often come to outpatient clinics and that their psychological symptoms are often confused with those of psychiatric patients.
OBJECTIVES: The purpose of this research was to examine the psychosocial differences between battered and nonbattered women admitted to a psychiatric unit in a French New Brunswick hospital.
STUDY DESIGN: Data were collectedfrom 221 medical records of women admitted to a psychiatric unit over a 5-year period. The following data were collected. information on the general characteristics of the women and their husbands (age, marital status, and occupation), information on the presence or absence of physical violence, and the psychiatric diagnosis, symptoms, and treatment of the patients.
RESULTS: Of the 221 medical records studied of women admitted into one psychiatric unit, 30 (13.7%) belonged to women who admitted having been battered. The battered women typically were in their thirties, were divorced or separated, had married against their parents' will and had theirfirst child before marriage. They most likely had grown up in a violent or broken home. Most battered inpatients had experienced sexual difficulties and had trouble with their in-laws. They were less likely to have disorganized thinking and their conditions were more likely to go undiagnosed than those of nonbattered women. They tended to express feelings of anger and guilt more freely than did nonbattered women. These actions are not characteristic of helpless women but of aggressive and independent women.
CONCLUSIONS: The questionnaire for taking the social history of psychiatric patients should seek information about domestic violence. Therapy should build on the independence and anger of battered women instead of trying to eliminate those coping mechanisms.
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